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目的调查四川省阿坝州某县的所有卫生院的急诊急救资源现状。方法 2015年4月15日-18日,设置统一电子版本的调查问卷,所有卫生院负责人填写完毕后上传资料,专人录入数据后统计分析急诊医疗服务情况以及急救相关人力资源、设备、技术应用情况。结果乡镇卫生院服务人口为(2 206.05±846.95)人,服务半径为(25.5±14.3)km,每千常住人口执业(助理)医师数1.52人,每千常住人口注册护士数0.47人,每千常住人口医疗卫生机构床位数1.69张,所有卫生院共74名(助理)医师,23名护士,医护职称以及学历构成比较差异无统计学意义(P>0.05)。所有卫生院共6辆救护车,5辆为普通型救护车,1辆为抢救监护型救护车,救护车车载设备及院内救治设备均配置不足,大多数医护人员仅能开展周围静脉穿刺及清创缝合手术,不能单独完成重症患者的抢救工作。结论乡镇卫生院急诊服务半径过大,医护人员数量偏低,总体服务能力不足,需加大投入改进医疗设施设备,增加医护人员数量、改善人才结构,加强急诊急救的专业建设,以尽可能满足民族地区民众对急诊急救资源的需求。
Objective To investigate the current situation of emergency first aid resources in all hospitals in a county in Aba Prefecture of Sichuan Province. Methods From April 15 to April 18, 2015, a unified electronic version of the questionnaire was set up. All the responsible persons of the hospitals completed the data upload, and after entering the data, the statistical analysis of the emergency medical service and emergency-related human resources, equipment and technology Happening. Results The service population of township hospitals was (2 206.05 ± 846.95) persons, the service radius was (25.5 ± 14.3) km, the number of practicing (assistant) physicians per 1,000 residents was 1.52, and the number of registered nurses per 1,000 residents was 0.47, There were 1.69 beds in the medical and health institutions of permanent residents, 74 (assistant) physicians and 23 nurses in all hospitals, there was no significant difference in medical professional titles and educational level (P> 0.05). All hospitals have a total of 6 ambulances, 5 are ordinary ambulances and 1 are ambulances. Ambulances and in-hospital equipment are inadequately equipped. Most medical personnel can only perform peripheral venipuncture and clear Create a suture operation, can not complete the rescue of critically ill patients. Conclusions The emergency service radius of township hospitals is too large, the number of medical staffs is too low, and the overall service capacity is insufficient. Therefore, it is necessary to increase investment in improving medical facilities and equipment, increase the number of medical staff, improve the personnel structure, and strengthen the professional construction of emergency first aid so as to satisfy People in Ethnic Areas Need for Emergency First Aid Resources.